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Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 4 March 2026
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Displaying 1540 contributions

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Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:I have a final question for NHS Grampian. On making public services more efficient, the Government is keen that we work together across public services. Are you looking to share more of the back-office work and salaries across the two local authorities and the health board? Are you working on getting better at that?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:I guess that the hope is that patients will see the benefit at the end of it. Working across the public services will be more complex for you because of the landscape—you have more local authorities, for a start. Are you managing to pull that together to make savings, particularly on the back-office work?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:Alison, we have worked together on a number of things so I know that what I am going to ask about—transparency—is something that you care about. When you make decisions, can the public see what those decisions are? Are you publishing all that?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:I have a couple of questions for NHS Ayrshire and Arran, which is a little bit behind NHS Grampian in terms of escalation to level 4. What do you hope to get from that? Is it something similar to what NHS Grampian has experienced?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

Some areas of questioning have been covered, and I might focus more on NHS Grampian, given that Jamie Greene focused more on NHS Ayrshire and Arran. For transparency, I note that a number of my family members work on the front line in NHS Grampian. I do not think that anything is declarable, but I want to be transparent about that.

On 25 May, NHS Grampian went up to risk level 4 on the NHS Scotland support and intervention framework. The KPMG work that the Government initiated was one of the first things that resulted from that. The turnaround on it, which was over a couple of months, was quite rapid. Laura, that was published just before you came into post as chief executive, so it was perhaps a useful document to start with. It would be good to hear your experience of that and how you are working through the recommendations.

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:Will you share those priorities for the record?

Public Audit Committee [Draft]

Section 22 Reports: “The 2024/25 audit of NHS Ayrshire and Arran” and “The 2024/25 audit of NHS Grampian”

Meeting date: 25 February 2026

Joe FitzPatrick

:One of the criticisms in the external audit was that the whole-system plan did not sufficiently demonstrate what you are doing to improve things. Are you developing an improvement plan that is similar to that of NHS Grampian?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 2

Meeting date: 24 February 2026

Joe FitzPatrick

I am very sympathetic to Dr Gulhane’s amendments 64 and 65. I wonder whether the minister would consider agreeing to discuss those amendments further with Dr Gulhane in advance of stage 3, and, if she agrees to do that, whether Dr Gulhane will agree not to move them at this stage.

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Joe FitzPatrick

The next area that I will ask about is delayed discharge and the variations in that across the country. There is some really good practice, and I highlight NHS Tayside, in my local area, where elected members get regular briefings and have been told off for calling it “delayed discharge” when we should turn that idea on its head and talk about “planned” discharge without delay. We can see all three integrated authorities in Tayside doing better than those in other parts of the country because of that ethos and way of working. There are variations within Tayside: there has been an amazing improvement in Angus; Dundee consistently does well, and Perth is not as good but is still better than the national average.

How do we ensure consistency when good practice appears to be happening in some areas, including those that you mentioned? How can that be picked up by integration authorities and NHS boards across the country?

Public Audit Committee [Draft]

“Delayed discharges: A symptom of the challenges facing health and social care” and “Community health and social care: Performance 2025”

Meeting date: 18 February 2026

Joe FitzPatrick

I want to cover some areas in which I think some really good practice is happening across Scotland. You have talked about some of this already, but I want to give you the opportunity to say a little bit more about how things are working in practice and how we are measuring the effects.

The first area that I want to focus on is the work that we are doing to prevent people going to hospital in the first place; after all, if they are not in hospital, they are not going to cause delayed discharge. You touched on the frailty teams and hospital at home—two areas on which there is a real focus and that are, in fact, being expanded. How are you doing with getting more beds at home? I have had personal experience of the hospital-at-home system, and I have to say that, until you have been there, you cannot appreciate how amazing it is in preventing somebody having to go into hospital in the first place. How are you getting on with those things?